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NPI Code Detail

MEDICARE: MARIA MACIAS VALDEZ P.A.C.

MEDICARE:   MARIA MACIAS VALDEZ  P.A.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA01990TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12310115OTHERTXUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982704565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MACIAS VALDEZ P.A.C.
Provider Business Mailing Address
First Line : 333 COMMERCE ST
Second Line : STE. 700
City : NASHVILLE
State : TN
Zip : 37201-1826
Country : US
Telephone Number : 615-913-5086
Fax Number :
Provider Business Practice Location Address
First Line : 2425 WEST LOOP S STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77027-4208
Country : US
Telephone Number : 615-913-5086
Fax Number : 888-494-2588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 09/14/2018

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Directions to “ MARIA MACIAS VALDEZ P.A.C.” Practice Location

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